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Hyperbaric Oxygen Therapy


is often referred to as:

HBOT

Bird Medical Devices

BRIEF HISTORY OF HBOT

1662 - British physician to treat pulmonary disease and help with digestion.

1891 - Doctors in U.S. began using hyperbaric oxygen therapy to treat nervous disorders

1895 - Was found to be effective in treating carbon monoxide poisoning. 1928 - A five story having 60 rooms chamber for $1 million in Ohio by Dr.

Cunningham 1934 - A U.S. Naval officer found it to be effective in treating

decompression sickness. 1961 - Hyperbaric oxygen therapy was found to be effective in treating

gas gangrene. 1963 - The first International Congress on Hyperbaric Medicine convened

in USA 1966 - Hyperbaric oxygen therapy was found to be effective in treating

stroke patients. 1970 - Hyperbaric oxygen therapy was found to be effective in treating

multiple sclerosis. 1988 - The International Society of Hyperbaric Medicine was founded. 2000 -Hyperbaric medicine was approved by the American Board of

Medical Specialties as a sub-speciality of emergency and preventative medicine.


Hyperbaric Oxygen Therapy Humour

“First tried on Human ….

now being successfully used on animals. ”


HYPERBARICHyper = More or increased

Baric = Related to Pressure

More Pressure

Word “Hyperbaric” is derived from Hebrew word for “More Pressure”


“Hyperbaric” is More Pressure

Than what pressure ?

Related to which pressure?


More Pressure Related to Atmospheric Pressure

Atmospheric pressure is thepressure exerted at sea level.

This pressure is referred to as

One Atmospheric Pressure = 1 ATA

ATA ( Atmospheric Absolute )


Henry’s Law

Increase in atmospheric pressure allows more gas to be dissolved into any given liquid.

Increase in more oxygen pressure allows more oxygen to be dissolved in body

fluids.


What is

Hyperbaric Medicine ?

The medical use of

Oxygen

At

higher pressure

than the atmospheric pressure


What isHyperbaric Oxygen Therapy ?

(HBOT)

Intermittant medical treatment with

100 % oxygen at a

pressure greaterthan the normal atmospheric pressure


MECHANISM OF ACTION

1. Hyper oxygenation:

Breathing room air renders 21% oxygen at 1 ATA.

Hyperbaric chamber provides up to 20

times 100% oxygen to all tissues within the body.

MECHANISM OF EFFECT

2. Direct Pressure to Oxygen Molecules:

Normally only the red blood cells are capable of transporting oxygen.

During HBOT, Oxygen molecules become more soluble obeying the scientific principles of Henry’s Universal Gas

Law.

Oxygen crosses cell membranes and enter all of the body’s fluid systems, including plasma, synovial,

lymphatic, interstitial (between cells) and cerebrospinal fluids.


MECHANISM OF ACTION

3. Mechanical effect:

Any free gas trapped in the body will decrease in volume as the pressure on it increases”

Successfully applied to air embolism and decompression sickness


MECHANISM OF ACTION:

4. Gas Wash out effect:

The flooding of the body with any one gas tends to "wash out" all others.

Treatment for CO intoxication and cyanide poisoning


MECHANISM OF ACTION

5. Vasoconstriction:

Causes vasoconstriction without creating hypoxia which decreases edema

Useful in burns, crush injuries, interstitial bleeding, Acute brain and

spinal cord injuries


MECHANISM OF ACTION

6. Bacteriostasis

Organisms that cannot survive in an oxygen rich environment are bacteria, fungi and viruses

White blood cells (leukocytes) become

supercharged with Oxygen in the battle against bacteria responsible for causing infection

and illness.


MECHANISM OF ACTION

7. Superoxide Dismutase (SOD) Stimulation

A Surge of Antioxidant Capabilities:

Hyperbaric Oxygen stimulates superoxides ( SOD production)

Helps the body to rid itself of the byproducts of inflammation and

damaging free radicals.


MECHANISM OF ACTION

8. Angiogenesis

The Formation of New Blood Vessels:

Stimulates the growth of new capillaries (angiogenesis) building a new collateral to serve injured and healthy

tissues alike.

Neovascularization is helpful for reaching tissues and organs that have restricted blood flow to ischemic areas.


MECHANISM OF ACTION

9. Fibroplast and Collagen Production

Fibroblast, Collagen reproduction and growth are aided by the added availability of

increased oxygen provided during hyperbaric conditions.

Plays a critical role in wound healing.


MECHANISM OF ACTION

10. Osteoblast and Osteoclast Production:

Stimulate and increase production of cells like osteoblasts and osteoclasts

Faster regeneration of bone.


14 Approved Indications by Undersea Hyperbaric medicine Society (UHMS)

1. Air or Gas Embolism2. Carbon Monoxide Poisoning • Carbon Monoxide Poisoning Complicated

By Cyanide Poisoning3. Clostridial Myositis and Myonecrosis (Gas Gangrene)4. Crush Injury, Compartment Syndrome and Other Acute Traumatic Ischemias5. Decompression Sickness6. Arterial Insufficiencies: Central Retinal Artery Occlusion, • Enhancement of Healing In Selected Problem Wounds7. Severe Anemia8. Intracranial Abscess9. Necrotizing Soft Tissue Infections10. Osteomyelitis (Refractory)11. Delayed Radiation Injury (Soft Tissue and Bony Necrosis)12. Compromised Grafts and Flaps13. Acute Thermal Burn Injury14. Idiopathic Sudden Sensorineural Hearing Loss


OFF LABEL INDICATIONS NEUROSURGERY

Gas Gangrene Non Healing Wounds, Ulcers, Diabetic Foot *Burns *Air and Gas Embolism *Blast Injuries *Deep Vein Thrombosis *Frostbite *Peripheral Vascular Ulcers-Arterial (Atherosclerosis), Decubitus (Bed Sores), Neuropathy Related (Diabetes), Various (DVT) *Burgers Disease

NEUROLOGYAcute and chronic stroke *Vegetative Coma following closed head injury *Cerebral edema due brain tumours * Trauma and toxic encephalopathy * Multiple Scelorosis * Migraine * Cluster Headache *Cranial Nerve syndromes like Trigeminal Neuralgia, Optic Neuritis, Sudden Deafness *Brain stem syndrome *Retinal Artery occlusion

OFF LABEL INDICATIONS

ORTHOPAEDICS*Crush Injuries *Compartment (Clostridial) *Myonecrosis (Clostridial) *Acute and Chronic Osteomyelitis,*Acute Necrotizing Fascitis *Bone Grafting *Tendon and ligament injuries *Amputation Stump infections etc *Fracture /Non Union *Oedema Under Cast

MEDICINEPoisioning-Carbon Monoxide, Hydrogen Sulphide, Peyote & Cyanide *Near Drowning, hanging, Electrocution *Ileus * Exceptional blood loss-anaemia *Decompression Sickness *Pseudomembranous Colitis *Rheumatoid Arthritis (Acute) *Sickle Cell Crisis and Haematuria *Myocardial infarction *Post Cardiotomy Low Output Failure *Immune System Enhancement *Peptic Ulcers

OFF LABEL INDICATIONS

OPTHALMOLOGY*Diabetic Retinopathy *Retinal Vein Thrombosis *Retinitis Pigmentosa *Retina Artery Occlusion *Toxic Amblyopia *Corneal Disorders *Glaucoma *Neovascularisation of Retina *Vascular Insufficiency

PLASTIC SURGERY*Compromised Skin Flaps and Grafts *Speed Healing With Less ScarENTSudden Deafness * Acoustic Trauma *Meneire’s Desease * Chronic LyringitisSKIN*Toxic Epidermal Necrolysis (Lyells Syndrome) * Lepromatous Leprosy * Refractory Mycose


How Hyperbaric Oxygen Therapy

Is Administered ?

* Oxygen as a drug* Hyperbaric chamber as a

device


Types of Hyperbaric Oxygen Therapy

Chambers

1) Portable Hyperbaric Chambers

2) Monoplace Hyperbaric Chambers

3) Multiplace Hyperbaric Chambers


Portable Hyperbaric Chamber

Child receiving treatment Attributes:

Made of inflatable Bags with zippers Maximum pressure upto 1.3/1.5 ATA 1 Adult & 1 Child Allows self and home treatment. Portable, can be carried if needed. Oxygen is supplied by oxygen

concentrator Low costs and limited application


Monoplace HBOT ChamberPatient receiving treatment Attributes

Accommodates only a single person at a time.

Pressurized to upto 3 ATA with 100% oxygen

Access to patient through intercom communication.

Patient entertainment systems -TV / Video is mounted on top

Patient monitoring systems can be hooked

Lower cost Mobile


Monoplace HBOT chamber

Chamber shown with the Door open and Trolley

Patient being slided with the top of the trolley

Monoplace Hyperbaric Chamber

Multiplace HBOT Chamber

Accommodates patients / healthcare personnel from 4 – 20 in numbers.

Pressurised with medical breathing air upto 6 ATA

Breath 100% oxygen through head tent or face mask

Patient monitors and ventilators can be interfaced for the Critically ill

Medicines can be passed through special openings during treatment

Intercom communication, Internal Entertainment system like TV / video

Needs larger space & fixed systems High cost


MULTIPLACE HYPERBARIC CHAMBER

Internal view of patients receiving treatment with medical attendants inside the chamber

MONO & MULTIPLACE CHAMBERILLUSTRATED PICTURES

Monoplace Chamber Multiplace Chamber

HBOT1.) HBO therapy follows Physiological Principles and the

Laws of physics

2.) HBO is Currently indicated for 14 diseases and supported by the literature

3.) Used for many off label indications internationally based on clinical research.

4.) Evidence includes testimonial, case reports and studies.


HBOT TRAINING

We arrange training to your Technician Nurse & Physician at our center in India.

Training will be imparted by Internationally certified

Hyperbaric Physician and Technician.

Ask us for further details:

Bird Medical DevicesCell: 9769 484 123 / 9769 006 123 Telf : 91-22-65 655 123

Email: [email protected] / [email protected]

www.indiahbot.blogspot.comBombay, India

BIRD MEDICAL DEVICES

Thanks.

Dedicated to promoting Affordable

Hyperbaric Oxygen Therapy chambers In India.

Cell: 9769 484 123 / 9769 006 123 Telf : 91-22-65 655 123

Email: [email protected] / [email protected]

www.hyperbaricoxygentherapychamber.com Bombay, India